This provider's $6.0M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 110% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 83% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $257.92 | $76.89 | 3.35x | $181.03 | $339.5K | 5.0K | 2.4K |
| 2015 | $269.74 | $75.43 | 3.58x | $194.31 | $300.0K | 4.6K | 2.1K |
| 2016 | $333.08 | $75.30 | 4.42x | $257.78 | $305.6K | 5.0K | 2.1K |
| 2017 | $353.42 | $80.26 | 4.40x | $273.16 | $449.3K | 6.4K | 2.7K |
| 2018 | $339.18 | $79.30 | 4.28x | $259.88 | $820.6K | 11.5K | 4.3K |
| 2019 | $252.43 | $69.77 | 3.62x | $182.66 | $845.7K | 11.9K | 4.5K |
| 2020 | $243.11 | $75.06 | 3.24x | $168.05 | $810.5K | 11.6K | 4.4K |
| 2021 | $191.37 | $65.49 | 2.92x | $125.88 | $730.8K | 10.5K | 4.1K |
| 2022 | $204.00 | $64.45 | 3.17x | $139.55 | $735.9K | 10.7K | 4.2K |
| 2023 | $187.28 | $60.78 | 3.08x | $126.50 | $711.4K | 9.1K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 38.8K | $2.1M | $54.42 | 2.67x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 22.0K | $1.8M | $79.63 | 2.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 6.0K | $884.5K | $148.06 | 2.73x |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.6K | $450.9K | $80.66 | 2.53x |
| 99356 | Prolonged inpatient or observation hospital service first hour | 5.2K | $358.1K | $68.87 | 2.59x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.3K | $126.2K | $100.90 | 2.75x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 2.5K | $96.6K | $38.37 | 2.82x |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.0K | $54.1K | $52.94 | 3.78x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.6K | $50.8K | $32.69 | 7.23x |
| 95910 | Nerve transmission studies, 7-8 studies | 512 | $39.7K | $77.59 | 5.11x |
| 95909 | Nerve transmission studies, 5-6 studies | 666 | $38.1K | $57.16 | 4.40x |
| 95912 | Nerve transmission studies, 11-12 studies | 318 | $37.0K | $116.22 | 4.56x |
| 95913 | Nerve transmission studies, 13 or more studies | 186 | $26.1K | $140.28 | 4.51x |
| 95911 | Nerve transmission studies, 9-10 studies | 62 | $6.1K | $99.16 | 4.88x |
| G0179 | Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp | 203 | $5.8K | $28.78 | 2.85x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 112 | $3.2K | $28.98 | 2.94x |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 107 | $2.4K | $22.66 | 2.56x |
| 95908 | Nerve transmission studies, 3-4 studies | 38 | $1.8K | $48.30 | 4.57x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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